Oooh... yes, I remember them... they HURT!

The internal pressure is probably from further hemorrhoids inside your rectum. It sounds like you have a pretty nasty case! I did too, you are not alone. My OB prescribed me with an ointment called Sheriproct. It is heaps stronger than Rectinol or any of the other 'over the counter' ointments. It sorted out my 'roids within a week or two. Only problem is that you need a prescription for Sheriproct and it is not on the PBS (it wasn't a few years ago, maybe it is now???) so it's expensive, about $65 for a smallish tube. Well worth every cent I say, and a lot cheaper than surgical removal!!

Good luck and congratulations on the new bubba!